Intra-Ovarian Platelet-Rich Plasma Injections: Single-Centre Experience.

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Abstract

Objective: To describe the effects of intra-ovarian platelet-rich plasma injection on the ovarian stimulation outcomes in women referring to an in vitro fertilization center. Method: We conducted a single-center retrospective study on 179 women that underwent intra-ovarian platelet-rich plasma injection over the last three years. Inclusion criteria included women over age 35 with at least one ovary with a history of infertility, hormonal abnormalities, absence of menstrual cycle and premature ovarian failure. Results: Mean (±SD) patient age was 43 ± 4 years. Both serum FSH levels and serum E2 significantly reduced after treatment from 29.0 pg/ml to 18.0 pg/ml; p<0.0001 and from 65.6 pg/ml to 47.2 pg/ml; p= 0.034 respectively. None of the 179 women reported any complications post operatively. After PRP, 17/179 (9.49%) women became pregnant. Conclusion: The results of our observational study revealed that PRP intra-οvarian injection is associated with improved function of ovarian tissue. Future further randomized clinical trials in this field are needed to shed light in the use of PRP in ovarian rejuvenation.
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卵巢内富血小板血浆注射:单中心体验。
目的:探讨卵巢内富血小板血浆注射对体外受精中心妇女卵巢刺激结果的影响。方法:我们对179名在过去三年中接受卵巢内富血小板血浆注射的妇女进行了一项单中心回顾性研究。纳入标准包括年龄超过35岁且至少有一个卵巢有不孕史、激素异常、无月经周期和卵巢早衰的女性。结果:患者平均(±SD)年龄为43±4岁。治疗后血清FSH和E2水平均由29.0 pg/ml降至18.0 pg/ml;P <0.0001,从65.6 pg/ml降至47.2 pg/ml;P = 0.034。179名妇女均无术后并发症报告。在PRP后,179名妇女中有17名(9.49%)怀孕。结论:我们的观察性研究结果表明,在卵巢内注射PRP与卵巢组织功能的改善有关。未来需要在该领域进一步的随机临床试验来阐明PRP在卵巢年轻化中的应用。
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